Mortalidad materna en España en el período 1995–1997: resultados de una encuesta hospitalaria

Sesmero, José Ramón de Miguel; González, M.R. Temprano; Cacho, Pedro Muñoz; Ramoneda, V. Cararach; Mendaña, J. Martínez Pérez; Mínguez, J.; Checa, E. Vilar; Cabrillo, E.

doi:10.1016/s0304-5013(02)75837-8

Cited by 13 publications

(3 citation statements)

References 12 publications

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“…Different authors have highlighted problems of under-registration and under-reporting of maternal deaths in different European countries and Spain,32 and so the results of our study could be underestimated. One must be prudent when it comes to interpreting the results in view of the fact that probability distributions for infrequent events increase the risk of type 1 error and, at times, yield p-values that are difficult to interpret.…”

Section: Discussionmentioning

confidence: 78%

Increase in maternal mortality associated with change in the reproductive pattern in Spain: 1996-2005

Fernández¹,

Bueno‐Cavanillas²,

Dramaix-Wilmet³

et al. 2009

Journal of Epidemiology & Community Health

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Background:In Europe different studies forecast an increase in maternal mortality for the next years, associated with advanced maternal age and delay in maternity. This study aims to analyse the age-related trend in the maternal mortality ratio among mothers in Spain for the decade, 1996-2005; and describe the causes of death and associated socio-demographic factors for the years with highest mortality. Methods:An ecological study on trends, for the age-related trend in the maternal mortality ratio; an indirect standardisation and poisson regression model was used. For the description of the causes of death, a cross-sectional study was used. Results:Prevalence of live births among mothers aged 35 years and over was 15% The risk of maternal mortality was higher in foreign mothers. Conclusion:This study confirms that there was a change in the maternal mortality trend characterised by an increase in deaths, associated with advanced maternal age, as well as an increase in the prevalence of live births among mothers aged 35 years and over. This pattern change poses the need of intensifying maternal mortality surveillance by collecting the necessary set of variables that allow investigation of the causes and determinant factors underlying deaths.

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Section: Discussionmentioning

confidence: 78%

Increase in maternal mortality associated with change in the reproductive pattern in Spain: 1996-2005

Fernández¹,

Bueno‐Cavanillas²,

Dramaix-Wilmet³

et al. 2009

Journal of Epidemiology & Community Health

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“…The increase in the rate of this complication in these countries, such as Canada, was proposed to be the result of improvements in vital statistics registration data and due to the switch from the ICD9 to ICD10 when classifying this complication. In this regard, we do not know if maternal deaths are correctly quanti ed in Spain, although some authors claim that there may be inadequate identi cation and recording of maternal deaths in up to 40% of cases, which would re ect a clear underestimation of maternal mortality [20].…”

Section: Discussionmentioning

confidence: 96%

Maternal Mortality Trends in Spain During the 2000-2018 Period: The Role of Maternal Origin

Larroca¹,

Arévalo-Serrano²,

Minaya³

et al. 2021

Preprint

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Backround: The available literature indicates that there are significant differences in maternal mortality according to maternal origin in high income countries. The aim of this study was to examine the trend in the maternal mortality rate and its most common causes in Spain in recent years and to analyse its relationship with maternal origin.Methods: This was a cross-sectional study of all live births as well as those resulting in maternal death in Spain during the period between 2000 and 2018. A descriptive analysis of the maternal mortality rate by cause, region of birth, maternal age, marital status, human development index and continent of maternal origin was performed. The risk of maternal death was calculated using univariate and multivariate logistic regression analyses, with adjustment for certain variables included in the descriptive analysis.Results: There was a total of 293 maternal deaths and 8,439,324 live births during the study period. The most common cause of maternal death was hypertensive disorders of pregnancy. The average maternal death rate was 3.47 per 100,000 live births. The risk of suffering from this complication was higher for immigrant women from less developed countries; therefore, a decrease of 0.01 in the maternal human development index score significantly increased the risk of this complication by 2.4%.Conclusions: The results of this study indicate that there are inequalities in maternal mortality according to maternal origin in Spain. The human development index of the country of maternal origin could be a useful tool when estimating the risk of this complication, taking into account the origin of the pregnant woman.

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“…The increase in the rate of this complication in these countries, such as Canada, was proposed to be the result of improvements in vital statistics registration data and due to the switch from the ICD9 to ICD10 when classifying this complication. In this regard, we do not know if maternal deaths are correctly quantified in Spain, although some authors claim that there may be inadequate identification and recording of maternal deaths in up to 40% of cases, which would reflect a clear underestimation of maternal mortality [ 20 ].…”

Section: Discussionmentioning

confidence: 99%

Maternal mortality trends in Spain during the 2000-2018 period: the role of maternal origin

et al. 2022

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Background The available literature indicates that there are significant differences in maternal mortality according to maternal origin in high income countries. The aim of this study was to examine the trend in the maternal mortality rate and its most common causes in Spain in recent years and to analyse its relationship with maternal origin. Methods This was a cross-sectional study of all live births as well as those resulting in maternal death in Spain during the period between 2000 and 2018. A descriptive analysis of the maternal mortality rate by cause, region of birth, maternal age, marital status, human development index and continent of maternal origin was performed. The risk of maternal death was calculated using univariate and multivariate logistic regression analyses, with adjustment for certain variables included in the descriptive analysis. Results There was a total of 293 maternal deaths and 8,439,324 live births during the study period. The most common cause of maternal death was hypertensive disorders of pregnancy. The average maternal death rate was 3.47 per 100,000 live births. The risk of suffering from this complication was higher for immigrant women from less developed countries. The adjusted effect of maternal HDI score over maternal mortality was OR = 0.976; 95% CI 0.95 – 0.99; p = 0.048; therefore, a decrease of 0.01 in the maternal human development index score significantly increased the risk of this complication by 2.4%. Conclusions The results of this study indicate that there are inequalities in maternal mortality according to maternal origin in Spain. The human development index of the country of maternal origin could be a useful tool when estimating the risk of this complication, taking into account the origin of the pregnant woman.

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Mortalidad materna en España en el período 1995–1997: resultados de una encuesta hospitalaria

Cited by 13 publications

References 12 publications

Increase in maternal mortality associated with change in the reproductive pattern in Spain: 1996-2005

Increase in maternal mortality associated with change in the reproductive pattern in Spain: 1996-2005

Maternal Mortality Trends in Spain During the 2000-2018 Period: The Role of Maternal Origin

Maternal mortality trends in Spain during the 2000-2018 period: the role of maternal origin

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